Organization Active NPI

Affinity Counseling and Treatment

  • Community/Behavioral Health Agency
  • Vancouver, WA
National Provider Identifier
1922332188
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
06158100 Issued in WA
Legal business name
AFFINITY COUNSELING AND TREATMENT
Practice address
12503 SE Mill Plain Blvd
119A
Vancouver, WA 98684-4009
Phone
(360) 314-6507
Fax
(360) 852-8041
NPI assigned
Sep 21, 2009
Last updated
Aug 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laura Lewis, CDPNPI 1538332721
Title
Administrator
Phone
(360) 314-6507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 06158100 WA Primary

Addresses

Primary practice location

12503 SE Mill Plain Blvd
119A
Vancouver, WA 98684-4009

Mailing address

12503 SE Mill Plain Blvd
119A
Vancouver, WA 98684-4009
Phone (360) 314-6507

National Provider Directory

National Provider Directory

Locations

12503 SE Mill Plain Blvd
Ste 119A
Vancouver, WA 98684
Phone 3603146507 ext. 107

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1922332188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12503 SE MILL PLAIN BLVD",
            "address_2": "119A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986844009",
            "telephone_number": "360-314-6507",
            "fax_number": "360-852-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12503 SE MILL PLAIN BLVD",
            "address_2": "119A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986844009",
            "telephone_number": "360-314-6507",
            "fax_number": "360-852-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY COUNSELING AND TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-314-6507",
        "authorized_official_credential": "CDP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "06158100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.